Menée dans une unité de soins intensifs à partir de questionnaires auprès de 40 infirmières et 152 patients ayant subi une chirurgie thoracique pour traiter un cancer, cette étude identifie les facteurs affectant la qualité du sommeil et analyse les différences de perception entre patients et infirmières vis-à-vis de ces facteurs

Factors that affect sleep quality: perceptions made by patients in the intensive care unit after thoracic surgery

Zhang, Lei ; Sha, YongSheng ; Kong, QingQing ; Woo, JenniferAi-lian ; Miller, AdamR ; Li, HongWei ; Zhou, LiXin ; Zhou, Yi ; Wang, ChangLi

Objective : This study identifies factors affecting sleep patterns among thoracic surgery patients in the intensive care unit (ICU) and compares the perceptions of sleep-disturbing factors between nurses and patients. Methods : One hundred and fifty-two patients and 40 nurses were surveyed using the Pittsburgh Sleep Quality Index (PSQI) and self-designed questionnaires (for patients and nurses). All statistical analyses were carried out by SPSS, and the following statistical methods were used [...]

A partir d'une revue systématique de la littérature publiée jusqu'en 2012 (5 essais randomisés, 238 patients), cette méta-analyse évalue l'efficacité de programmes d'interventions comportant des exercices physiques pour améliorer la qualité de vie des patients atteints d'un cancer colorectal

A systematic review and meta-analysis of exercise interventions for colorectal cancer patients

Cramer, H. ; Lauche, R. ; Klose, P. ; Dobos, G. ; Langhorst, J.

The aim of this systematic review and meta-analysis was to investigate the effectiveness of exercise for colorectal cancer patients. Pubmed/Medline, Scopus and the Cochrane Library were searched through December 2012 without language restrictions. Randomised controlled trials (RCTs) comparing exercise interventions to control conditions were analysed when they assessed health-related quality of life, fatigue, physical fitness, survival and/or tumour-associated biomarkers in colorectal cancer [...]

A partir d'une revue systématique de la littérature publiée jusqu'en 2012 (7 articles), cette étude évalue l'efficacité de stimulants tels que le méthylphénidate pour améliorer les capacités cognitives des enfants traités pour une tumeur cérébrale, puis identifie les facteurs prédictifs associés à une meilleure réponse au médicament

The use of stimulant medication to improve neurocognitive and learning outcomes in children diagnosed with brain tumours: A systematic review

Smithson, Emilie F. ; Phillips, Robert ; Harvey, David W. ; Morrall, Matthew C. H. J.

Purpose : Impaired attention is reported in children following treatment for brain tumours (BT). Attention problems impact on information processing and encoding, ultimately leading to academic under-performance. Having been successfully used to manage attention-deficit/hyperactivity disorder (ADHD), stimulants such as methylphenidate (MPH) have been investigated as a beneficial treatment for survivors of childhood BT. In order to develop appropriate strategies to manage late neurocognitive [...]

Menée à partir de questionnaires auprès de 244 patients ayant survécu à un cancer du testicule, cette étude évalue leurs besoins en soins de support en fonction de facteurs sociodémographiques et de caractéristiques de la maladie ou du traitement,

The prevalence and correlates of supportive care needs in testicular cancer survivors: a cross-sectional study

Smith, Allan ‘Ben’ ; King, Madeleine ; Butow, Phyllis ; Luckett, Tim ; Grimison, Peter ; Toner, Guy C. ; Stockler, Martin ; Hovey, Elizabeth ; Stubbs, John ; Hruby, George ; Gurney, Howard ; Turner, Sandra ; Alam, Mahmood ; Cox, Keith ; Olver, Ian

Objective : This cross-sectional study aimed to identify the prevalence and correlates of supportive care needs in testicular cancer (TC) survivors. Methods : Men who had completed active anti-cancer treatment for TC between 6 months and 5 years previously showing no evidence of recurrence were recruited from 14 Australian cancer centers (September 2009–February 2011). Participants completed a self-report questionnaire measuring sociodemographics, disease, and treatment information, supportive [...]

Menée aux Etats-Unis à partir de données portant sur un échantillon de 2 508 917 patients âgés de plus de 18 ans et ayant subi une opération chirurgicale pour traiter un cancer (colectomie, cystectomie, œsophagectomie, gastrectomie, hystérectomie, résection pulmonaire, pancréatectomie et prostatectomie), cette étude rétrospective transversale évalue, au cours de la dernière décennie, l'évolution du taux d'événements indésirables évitables en fonction du volume des interventions chirurgicales des hôpitaux

National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA

Sukumar, Shyam ; Roghmann, Florian ; Trinh, Vincent Q ; Sammon, Jesse D ; Gervais, Mai-Kim ; Tan, Hung-Jui ; Ravi, Praful ; Kim, Simon P ; Hu, Jim C ; Karakiewicz, Pierre I ; Noldus, Joachim ; Sun, Maxine ; Menon, Mani ; Trinh, Quoc-Dien

Objectives : While multiple studies have demonstrated variations in the quality of cancer care in the USA, payers are increasingly assessing structure-level and process-level measures to promote quality improvement. Hospital-acquired adverse events are one such measure and we examine their national trends after major cancer surgery. Design : Retrospective, cross-sectional analysis of a weighted-national estimate from the Nationwide Inpatient Sample (NIS) undergoing major oncological procedures [...]

A partir des données d'une enquête australienne réalisée en 2010 auprès d'adolescents âgés de 12 ans et plus, cette étude transversale évalue en milieu rural le taux de familles ayant une pratique tabagique au domicile, puis identifie les facteurs socio-économiques associés au tabagisme passif des enfants à la maison

Children, smoking households and exposure to second-hand smoke in the home in rural Australia: analysis of a national cross-sectional survey

Longman, Jo M ; Passey, Megan E

Objectives : This paper aimed to explore the association between rurality and (1) household smoking status and (2) home second-hand smoke exposure, in households with children aged 0–14 years. Design Cross-sectional study : Setting Households across Australia. Participants : Households across the country were randomly selected to provide a nationally representative sample. Respondents were persons aged 12 years or older in each household who were next going to celebrate their birthday. Primary [...]

Menée à partir des données d'une étude australienne portant sur 305 patients atteints d'un carcinome épidermoïde de l'œsophage et 1 554 témoins, cette étude évalue, en fonction du sexe, la fraction attribuable au tabac et à l'alcool dans le risque de carcinome épidermoïde de l'œsophage

Sex differences in the proportion of esophageal squamous cell carcinoma cases attributable to tobacco smoking and alcohol consumption

Pandeya, Nirmala ; Olsen, Catherine M. ; Whiteman, David C.

Objective : Alcohol and tobacco are the two major established environmental factors associated with squamous cell carcinoma of the esophagus (ESCC). However, the prevalence of these exposures differs substantially between men and women. Moreover, the prevalence of smoking has declined in recent years, whereas per capita consumption of alcohol has remained steady in both sexes. Quantifying the burden of ESCC attributable to these causal factors is necessary to inform potential preventive [...]

Menée à partir de données de 11 registres allemands du cancer portant sur 164 996 patients atteints d'un cancer colorectal diagnostiqué entre 1997 et 2006, cette étude évalue, en fonction du sexe, la survie relative à 5 ans des patients

Sex Differences in Colorectal Cancer Survival: Population-Based Analysis of 164,996 Colorectal Cancer Patients in Germany

Majek, Ondrej ; Gondos, Adam ; Jansen, Lina ; Emrich, Katharina ; Holleczek, Bernd ; Katalinic, Alexander ; Nennecke, Alice ; Eberle, Andrea ; Brenner, Hermann ; the, Gekid Cancer Survival Working Group

Risk of colorectal cancer (CRC) is considerably higher in men compared to women; however, there is inconclusive evidence of sex differences in CRC prognosis. We aimed to assess and explain sex differences in 5-year relative survival using standard and model-based period analysis among 164,996 patients diagnosed with CRC from 1997 to 2006 and reported to 11 German cancer registries covering a population of 33 million inhabitants. Age-adjusted 5-year relative survival was higher in women (64.5% [...]

A partir de données médicales portant sur 1 800 femmes âgées de 20 à 29 ans et atteintes d'un cancer du col de l'utérus diagnostiqué entre avril 2007 et mars 2012, cette étude anglaise évalue, en fonction de catégories d'âge, la prévalence, le type histologique et le stade au diagnostic de la maladie

Characteristics and screening history of women diagnosed with cervical cancer aged 20-29 years

Castanon, A. ; Leung, V. M. W. ; Landy, R. ; Lim, A. W. W. ; Sasieni, P.

Background : There was concern that failure to screen women aged 20–24 years would increase the number of cancers or advanced cancers in women aged 20–29 years. We describe the characteristics of women diagnosed with cervical cancer in England aged 20–29 years and examine the association between the period of diagnosis, screening history and FIGO stage. Methods : We used data on 1800 women diagnosed with cervical cancer between April 2007 and March 2012 at age 20–29 from the National Audit of [...]

Menée à partir de questionnaires auprès de 507 patients atteints d'un cancer de la prostate, cette étude évalue l'incidence de cinq sous-types de dépression et identifie les causes associées

The incidence and causes of different subtypes of depression in prostate cancer patients: implications for cancer care

Sharpley, C. F. ; Bitsika, V. ; Christie, D. R. H.

Although depression occurs in prostate cancer patients at a higher incidence than in age-matched non-cancer peers, little is known about the relative incidence of subtypes of depression among these patients. To examine this issue, 507 prostate cancer patients completed a survey questionnaire of background factors, depression symptoms, and common prostate cancer-related stressors. Five common subtypes of depression were defined from the wider literature, and patients' depressive symptomatology [...]

Mené au Danemark auprès de 955 patients adultes atteints d'un cancer de stade précoce et auprès de 323 médecins généralistes, cet essai randomisé contrôlé évalue, du point de vue du niveau de satisfaction des patients, l'efficacité d'un programme d'interventions visant à améliorer le rôle du médecin généraliste dans la réadaptation du patient après le diagnostic de la maladie

A randomised controlled trial to improve the role of the general practitioner in cancer rehabilitation: effect on patients’ satisfaction with their general practitioners

Bergholdt, Stinne Holm ; Hansen, Dorte Gilså ; Larsen, Pia Veldt ; Kragstrup, Jakob ; Søndergaard, Jens

Objective : To test whether a complex intervention facilitating early cancer rehabilitation by involvement of the general practitioner (GP) soon after diagnosis improves patients’ satisfaction with their GPs. Design : A cluster randomised controlled trial. All general practices in Denmark were randomised to an intervention or a control group before the start of the study. Patients included those with cancer who were subsequently allocated to either group based on the randomisation status of [...]